4600 Fairway Hills Dr - Inspection Form*
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 l..b
Name
4" to 6" Transition:
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
Time
Disk #
Owner /Occupant Signature
am
0 pm
-m-
PID Number
House Number ;r Street Name 1 f !s r .)-1 ) r ) I 3
Phone = "4 ' "
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Final Cleanout:
l
Q am
•
• Q pm
'Inspector Signature j \
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Unknown
N otes
Total
Correctly
Incorrectly
Sump pumps
r`
Foundation drains
Roof drains
*
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 l..b
Name
4" to 6" Transition:
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
Time
Disk #
Owner /Occupant Signature
am
0 pm
-m-
PID Number
House Number ;r Street Name 1 f !s r .)-1 ) r ) I 3
Phone = "4 ' "
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Final Cleanout:
l
Q am
•
• Q pm
'Inspector Signature j \
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH